안면계측법을 이용한 과도한 교합면 마모 환자의 전악 수복: 증례보고
Full mouth rehabilitation in a patient with excessive occlusal wear by using of facial measurement: A case report
박찬, 강동완, 정재헌, 김희중,
소속 상세정보
박찬 ( Park Chan ) - 조선대학교 치의학전문대학원 보철학교실
강동완 ( Kang Dong-Wan ) - 조선대학교 치의학전문대학원 보철학교실
정재헌 ( Chung Chae-Heon ) - 조선대학교 치의학전문대학원 보철학교실
김희중 ( Kim Hee-Jung ) - 조선대학교 치의학전문대학원 보철학교실
KMID : 0353320110350010068
Abstract
The patient was 58 years old male and visited for the treatment of missing teeth and aesthetic restoration resulted from abrasion. Full mouth rehabilitation with the increase of vertical dimension was planned through oral examination, radiographic examination, model examination and the evaluation of vertical dimension. The increasing amount of vertical dimension was determined 4mm by using facial measurement. Centric occlusion was determined. Then, vertical dimension was increased 4 mm on articulator. Diagnostic wax-up was conducted. To evaluate whether increase of vertical dimension is proper, follow-up after installation of provisional restoration was observed and continuous check and adjustment was conducted. In this period, prognostic poor teeth was extracted, and endodontic, periodontic treatment and implant was conducted. The group function which bear lateral force on natural teeth was set up to make stable occlusal contact at centric occlusion and reduce lateral force unfavorable to implant. After long term follow-up on patient mouth, the vertical dimension of provisional restoration was relocationed equally to final restoration. This case is reported that the patient, as mentioned above, who has decreased vertical dimension caused by excessive abrasion was recovered aesthetic, functional factors through prosthodontic treatment with increasing vertical dimension.
키워드
Facial measurement; Full mouth rehabilitation; Vertical dimension; Worn dentition
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